The holder whose full name is Tate, Martha L.,come from Blue Island IL,hold the Dental Hygienist license(NO.13000955A) which status is Expired.
| Name | Tate, Martha L. |
|---|---|
| License Number | 13000955A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Blue Island |
| State | IL |